Rainer Gruessner: Strong and Effective Patient Advocate In 2010 and 2011 Arizona’s Medicaid program (AHCCCS) stopped paying for certain liver, pancreas, heart, lung and bone marrow transplants for financial reasons. This became nationally known as “Death by Budget Cuts”. Dr Rainer Gruessner vehemently fought this decision and got the American Society of Transplant Surgeons (ASTS) and other national transplant organizations involved as well as the media and politicians. Due to the public pressure these budget cuts were eventually revoked and patients were relisted for life-saving transplants.